Educating Nurses About Venous Thromboembolism (VTE) Prevention
|ClinicalTrials.gov Identifier: NCT02301793|
Recruitment Status : Completed
First Posted : November 26, 2014
Results First Posted : May 17, 2019
Last Update Posted : May 17, 2019
As part of mandatory on-going nursing education, the investigators have incorporated identical information into two distinct web-based learning formats - the traditional linear PowerPoint format (with voice-over) and a new interactive format developed with central nursing education.
The investigators will cluster randomize nurses by floor to receive either the traditional education or the new interactive education, and evaluate the impact on administration of VTE prophylaxis doses administered by nurses before and after education. All nurses on a floor will receive the same educational format. If one method of education results in statistically significant improvement in VTE prophylaxis administration, the investigators will cross over to deliver the superior education format to all nurses who originally were given the less effective method.
|Condition or disease||Intervention/treatment||Phase|
|Venous Thromboembolism Venous Thrombosis||Behavioral: Nurse education in contemporary format Behavioral: Nurse education in traditional format||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||933 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||One arm was provided linear static education (Static) using PowerPoint slides with voiceover to cover the concepts. The other arm was provided interactive learner-centric dynamic scenario-based education (Dynamic), where each scenario resulted in either positive reinforcement or corrective feedback with an opportunity to apply knowledge to a new scenario.|
|Masking:||Double (Participant, Outcomes Assessor)|
|Masking Description:||Within strata, a coin toss (ERH) was used to randomize floors into either the Dynamic education arm or the Static education arm. Based on the outcome of the coin toss, nurses were then remotely assigned the online education module by an institutional nurse educator (DLS). The assigned educational module then appeared in the nurse's list of education assignments for completion within the institutional Learning Management System. Nurses are required to complete clinically relevant education regularly as part of ongoing professional practice and a waiver of consent was provided by the IRB; therefore nurses were not aware of their participation in a trial nor were they aware that two education modules existed. Additionally, the VTE prophylaxis medication non-administration dataset provided to the biostatistical team (i.e. outcomes assessors) for analysis was blinded by treatment arm and department.|
|Official Title:||Educating Nurses About Venous Thromboembolism Prevention|
|Actual Study Start Date :||April 1, 2014|
|Actual Primary Completion Date :||March 31, 2015|
|Actual Study Completion Date :||March 31, 2015|
Experimental: Contemporary Education Format
Nurses in this arm received education about venous thromboembolism (VTE) in a web-based contemporary interactive format.
Intervention: Nurse education in contemporary format
Behavioral: Nurse education in contemporary format
Education about VTE was delivered through a web-based contemporary interactive format
Active Comparator: Traditional Education Format
Nurses in this arm received education about venous thromboembolism (VTE) in a web-based traditional linear PowerPoint format with voice over.
Intervention: Nurse education in traditional format
Behavioral: Nurse education in traditional format
Education about VTE was delivered through a web-based traditional linear Powerpoint format with voice over.
- Non Administration of Prescribed VTE Prophylaxis Medication Doses [ Time Frame: (Baseline); approximately 3 months later (Post-Education) ]This is the percentage of VTE prophylaxis doses that were not administered for any reason as documented in the electronic health record by a nurse
- Rates of All VTE Among Hospitalized Patients [ Time Frame: 3-12 months after end of study ]Did the intervention decrease rates of VTE among hospitalized patients?
- Rates of Deep Vein Thrombosis (DVT) Among Hospitalized Patients [ Time Frame: 3-12 months after end of study ]Did the intervention decrease rates of DVT among hospitalized patients?
- Rates of Pulmonary Embolism (PE) Among Hospitalized Patients [ Time Frame: 3-12 months after end of study ]Did the intervention decrease rates of PE among hospitalized patients?
- Proportion of Non Administration of Prescribed VTE Prophylaxis Medication Doses Which Are Documented as Patient Refusal [ Time Frame: Baseline; approximately 3 months later (post education) ]Did the intervention decrease rates of patient refusal of VTE prophylaxis medication doses among hospitalized patients?
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02301793
|United States, Maryland|
|Johns Hopkins Medical Institutions|
|Baltimore, Maryland, United States, 21287|
|Principal Investigator:||Elliott R Haut, MD PhD||Johns Hopkins University|